Project Manager I (Medical Policy Team)

Evolent; United States; Remote; USD 60,000 - 70,000; Full time

Job summary

An established industry player is seeking a Project Manager I to join their Medical Policy Team. This role involves collaborating with various stakeholders to ensure the timely delivery of high-quality clinical guidelines. You will manage project activities, support publication processes, and maintain essential information for accurate guideline publication. The company values a work/life balance and offers a supportive environment where diversity and inclusion are prioritized. If you're passionate about improving health outcomes and thrive in a collaborative setting, this opportunity is perfect for you.

Benefits

Health Insurance Benefits

Work/Life Balance

Flexible Work Hours

Qualifications

• 2+ years of project management experience in a medium to large-scale corporation.
• Knowledge of project management methodologies and health care management.

Responsibilities

• Manage day-to-day operational aspects of Medical Policy team processes.
• Support publication of clinical guidelines and maintain critical information.

Skills

Project Management

Process Improvement

Interpersonal Skills

Microsoft Product Suite

Health Care Management

Education

Bachelor's Degree

High School or Associate’s Degree

Job description

Project Manager I (Medical Policy Team) page is loaded

Project Manager I (Medical Policy Team)

Apply locations Work at Home time type Full time posted on Posted 3 Days Ago job requisition id JR-914348

Your Future Evolves Here

Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.

Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.

Join Evolent for the mission. Stay for the culture.

What You’ll Be Doing:

Put your passion where it meets purpose! Evolent attracts some of the brightest minds in health care. Surround yourself with talented, driven colleagues who share a passion for better health outcomes and a more connected care journey. We are hiring for a Project Manager to join our Medical Policy Team.

As a Project Manager on the Medical Policy team, you will work closely with Medical Policy teammates and other key stakeholder business groups to provide exceptional support of timely and accurate delivery of high-quality Evolent clinical guidelines. Our team values collaboration, continuous learning, ongoing identification of efficiencies and process improvement, and a customer-centric approach, ensuring that every team member contributes to providing the best clinical guideline product.

Collaboration Opportunities:

The Project Manager will partner most closely with Medical Policy teammates and collaborate with Clinical Operations, Medical Leadership, IT, Provider Relations, and other business groups.

What You Will Be Doing:

• Support team responsibilities and project management activities as assigned
• Manage day-to-day operational aspects of Medical Policy team processes
• Support publication of Evolent Clinical Guidelines, Health Plan Specific Guidelines, and Legislative/Regulatory Guidelines
• Maintain source of truth information related to clinical guidelines application for utilization review requests
• Support and maintain information critical to accurate guideline publication
• Prepare reports and/or dashboards to represent project activity and status
• Apply project management methodology and enforce project standards using approved toolkit templates

Qualifications (Required and Preferred):

• Bachelor's degree plus 2+ years' project management or job-related experience with a medium to large-scale corporation
• High School or Associate’s degree with a minimum of 5 years of project management or job-related experience within the past 8 years
• Project Management Institute Certification (multiple certification options)
• Lean Six Sigma Black Belt or Green Belt
• Knowledge of project management and process improvement practices and methodologies
• Basic knowledge of health care management (CPT Codes, Medicare/Medicaid)
• Strong facilitation and interpersonal skills with the ability to work effectively with cross-functional teams
• Ability to resolve and/or escalate issues in a timely fashion
• Understand how to communicate difficult/sensitive information tactfully
• Proven ability to plan, organize, schedule, direct, control, and monitor project activities
• Strong working knowledge of Microsoft Product Suite

Technical Requirements:

We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.

Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status. If you need reasonable accommodation to access the information provided on this website, please contact [e-mail] for further assistance.

The expected base salary/wage range for this position is $60,000. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.